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目的分析福建省2004-2007年狂犬病流行状况,探讨其流行趋势和流行因素。方法用描述性流行病学方法对福建省近4年狂犬病个案进行分析。结果2004-2007年福建省共发生狂犬病137例,年均发病率0.10/10万;死亡137例,病死率为100.00%。病例主要集中在泉州、三明、龙岩等地区,占报告病例总数的88.33%(121/137);其中2007年疫情已波及17个县(区),疫情表现出明显的地域蔓延性;主要分布在农村地区,占96.35%。高发年龄为35～55岁组,占49.64%;发病年龄最小的1岁,最大的89岁。发病以农民为多,占54.01%;其次为学生,占15.33%;以男性为主,男女性别比为2.43∶1。全年均有发病,发病高峰时间为3月和7-10月。7-10月病例数占总病例数的51.09%(70/137)。结论应加强农村狂犬病防制工作,加强农村地区犬类的管理;加强跨地区运输动物的检疫工作。
Objective To analyze the epidemic situation of rabies in Fujian province from 2004 to 2007 and discuss its epidemic trend and epidemic factors. Methods Descriptive epidemiological methods were used to analyze rabies cases in Fujian Province in recent 4 years. Results A total of 137 rabies cases were reported in Fujian Province from 2004 to 2007, with an average annual incidence of 0.10 / 100,000. There were 137 deaths and the case fatality rate was 100.00%. The cases mainly concentrated in areas such as Quanzhou, Sanming and Longyan, accounting for 88.33% (121/137) of the total number of reported cases. Among them, the epidemic spread to 17 counties (districts) in 2007, and the outbreak showed obvious geographical spread; In rural areas, 96.35%. High incidence of 35 to 55 age group, accounting for 49.64%; the youngest age of 1 year old, the largest 89 years old. The incidence of peasants is more, accounting for 54.01%; followed by students, accounting for 15.33%; mainly male, male to female ratio was 2.43: 1. The incidence all year round, the peak incidence of March and July-October. From July to October, the number of cases accounted for 51.09% (70/137) of the total number of cases. Conclusion The prevention and treatment of rabies should be strengthened in rural areas to strengthen the management of dogs in rural areas; to strengthen cross-border transport of animal quarantine work.